Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minamiku, Hiroshima, 734-8553, Japan.
, Tokyo, Japan.
Reprod Health. 2023 Mar 14;20(1):44. doi: 10.1186/s12978-023-01583-2.
Adolescent pregnancy is a serious reproductive health problem in Tanzania. However, the risk factors for multidimensional attitudes and behaviors of reproductive health toward pregnancy in Tanzanian adolescents remain unexplored.
We collected baseline characteristics and information on attitudes and behaviors of reproductive health from 4161 Tanzanian adolescents in all 54 primary and secondary schools in the Korogwe district. We applied mixed effect multiple regression analyses stratified by sex to find the factors related to reproductive health attitudes and behaviors toward pregnancy.
In female students, regarding the attitudes of reproductive health, higher age, hope for marriage in the future, a talk with a parent about sex or pregnancy, and a higher hope score were significantly associated with a lower score. For the behaviors of reproductive health, higher age, a talk with a parent about sex or pregnancy, time to talk with a parent about daily life, and a higher hope score were significantly associated with a lower score. In male students, regarding the attitudes of reproductive health, a higher hope score was significantly associated with a lower score. For the behaviors of reproductive health, higher age, time to talk with a parent about daily life, and a higher hope score was significantly associated with a lower score.
The heterogeneous factor-outcomes association between female and male students suggested that sex-specialized interventions may be required to change their risky attitudes or behaviors of reproductive health. Although we cannot conclude as points of intervention, our study suggested that it may be practical to improve parent-adolescents communication about sex or reproductive health and change adolescents' views of pregnancy or marriage for gaining financial or social status.
青少年怀孕是坦桑尼亚一个严重的生殖健康问题。然而，坦桑尼亚青少年对怀孕的生殖健康多维态度和行为的风险因素仍未得到探索。
我们从科罗戈韦区的 54 所中小学的 4161 名坦桑尼亚青少年那里收集了基本特征以及关于生殖健康态度和行为的信息。我们采用分层的混合效应多元回归分析来寻找与生殖健康态度和行为有关的因素。
在女学生中，关于生殖健康的态度，较高的年龄、对未来婚姻的期望、与父母谈论过性或怀孕、以及较高的希望得分与较低的得分显著相关。对于生殖健康行为，较高的年龄、与父母谈论过性或怀孕、与父母谈论日常生活的时间、以及较高的希望得分与较低的得分显著相关。在男学生中，关于生殖健康的态度，较高的希望得分与较低的得分显著相关。对于生殖健康行为，较高的年龄、与父母谈论日常生活的时间、以及较高的希望得分与较低的得分显著相关。
女学生和男学生的态度和行为结果的异质因素关联表明，可能需要有针对性别的干预措施来改变他们的生殖健康风险态度或行为。虽然我们不能将其作为干预的重点，但我们的研究表明，改善父母与青少年之间关于性或生殖健康的沟通，以及改变青少年对怀孕或婚姻的看法，以获得经济或社会地位，可能是切实可行的。
